Interested in Adopting?

AZ Cocker Rescue's goal is to help facilitate a great adoption match for you and our dogs. The first step is completing
an application! Please fill out the form below to submit your application. Alternatively, download the form and send it
via email to azcockerrescue@aol.com.

Each question is important and necessary to answer in order for us to accept your application. Please ensure you have answered
all the questions below.

AZ COCKER RESCUE ADOPTION APPLICATION

Your Name

Spouse / Partner Name (if applicable)

Email Address

Home Address

Primary Phone

Secondary Phone

Occupation

Employer (if applicable)

Why have you chosen to adopt?

Check this box if you wish to receive our email newsletter

ABOUT THE DOG:

Name of particular dog you are interested in (Leave blank if you wish to discuss the best choice with an AZCR representative)

Preferred Sex of Dog?

Preferred Size of Dog

Preferred Color of Dog (if any)

ABOUT YOUR HOME:

What is the activity level of your home?

What type of dwelling do you live in?

Do you own or rent?

If your yard fenced in?

Where will the dog be when alone?

Where will your dog sleep at night?

SOCIAL ENVIRONMENT

Approximately how long will your dog be alone each day while family is at work/school?
Hours

Please list all members of your household including ages

OTHER PETS

Please list the pets you currently have or have had in the past 5 years, and if you no longer own them, explain why

BACKGROUND

What plans do you have for the dog if you are no longer able to care for him/her (such as death)?

What would be the reason you would give up a pet (such as move, new job, divorce, baby, etc.)?

Caring for a dog is a commitment. Some things to consider are the cost (average $500/year) and also the time dedication
to care for your new pet. Please explain how you feel you are able to meet a dogs needs.

Our dogs are rescue dogs and come from all walks of life. Some are in need of more training that others. Have you ever trained
a dog and do you feel comfortable doing so?

Once you bring your dog home, if behavioral issues arise, would you be willing to enroll in and pay for obedience training?

Please feel free to share any other information with us that you feel will help us better understand your family and may
help make a strong match with one of our dogs.

What is 4 plus 5?

YOUR RESPONSIBILITIES

By submitting this form, you agree that you have answered all questions to the best of your knowledge and understand that
any omission of information and/or failure to answer all the questions will result in my application being declined. If
an omission or untruth is discovered after an adoption occurs, you understand and accept that AZCR has the right to annul
the adoption and reclaim the dog. You agree to give AZCR permission to fully investigate the information provided on this
application. You also agree to the following:

You understand this is lifetime responsibility.

You understand AZCR does the best to assess the dog's temperament & health, but they cannot guarantee that the dog will
not develop behavioral or health problems and the dog may require time to adjust to their new environments.

You agree to not hold AZCR liable for any damage to persons or property.

You agree to provide all necessary medical attention, and provide a loving, permanent home for this dog.

If for some reason you am no longer able to care for this dog, you will return the dog to AZCR.

If the dog is lost, stolen or deceased you will immediately notify AZCR.

You agree to allow AZCR to do an in-home check prior to adoption & follow up home checks after the adoption is complete.

You shall not withhold access to the dog or the dog's medical records. AZCR has the right to make such inquiries at any
time with reasonable notice.

You agree to make a nonrefundable donation to AZCR at the time of adoption in the amount listed for the dog.

Important Links

Important Information

We foster our rescue dogs in our homes allowing us to get to know their personality better. A complete application benefits
you as the adopter because we can tell from the application what you are looking for in a pet and whether the dog you saw
online would be a good fit. This saves you time in helping to identify the right dog personality of your new family member.
We do respect your privacy and your application will only be shared with the volunteers needed to process it and complete
the adoption. Thank you for your understanding.

When we receive your application, we will email/call you to schedule a time to meet the dog(s) you are interested in. We
will try to contact you a couple of times, if we do not hear back from you within a couple of days, we will assume you are
no longer interested in adopting. If you do change your mind about adopting the dog you applied for, please send us an email
and let us know.

Please remember we are all volunteers and work full time so it may take a day or more to get back to you, after we receive
your application.